目的 分析孤独症儿童听觉统合治疗的临床疗效。方法 初诊孤独症患儿86例,47例采用第三代数码听觉统合训练仪(TL2001-A型)进行听觉统合训练(auditory integration training,AIT)(干预组), 39例未作AIT干预(对照组),两组均使用孤独症儿童行为检查量表(Autism Behavior Checklist,ABC量表)、自制观察行为量表(Self- prepared Questionnaire,SPQ)分别于治疗前、治疗后6个月进行评定。结果 1)与治疗前相比,干预组ABC量表评分中感知、交往、躯体运动、语言、生活自理等因子分及总分明显提高或降低(P<0.05),对照组感知因子分提高或降低(P<0.05)。与对照组相比,干预组治疗后感知、自理及总分提高或降低(P<0.05)。2)干预组自制观察量表中语言、交往、感知、行为、情绪等方面较治疗前改善(P<0.05),而对照组均无明显差异。干预组治疗后主动语言少、交往困难及注意涣散因子分改善优于对照组(P<0.05)。结论 听觉统合治疗对改善孤独症儿童的症状有一定疗效。

Objective To explore the effect of auditory integration training(AIT) on autistic children. Methods 47 autistic children with AIT (intervention group) and 39 autistic children without any treat (control group) were investigated respectively with Autism Behavior Checklist (ABC) and Self-prepared Questionnaire(SPQ) before and after 6 month treatment. Results 1)Compared with the scores before AIT,the AIT group significantly improved or decreased in total score,perception,communication,somatic movement,verbal and self-care in ABC respectively while the control group only increased or decreased in perception of ABC (P<0.05).When compared with the control group,it also showed a better changing trend in perception,self-care and total of ABC in AIT group(P<0.05).2) In the scores of SPQ,AIT group had increased in verbal,communication,perception,behavior and emotion (P<0.05),compared with those of before intervention.There was no significant deference in control group.Compared with control group,the AIT group increased in silence,communication difficulties and inattention in SPQ. Conclusion The treatment of AIT is effective for the autistic children.